WESLEY ALEXANDER JACKSON – Foot & Ankle Surgery Podiatrist, NPI 1285085357

WESLEY ALEXANDER JACKSON is a healthcare provider. based in Jacksonville beach, Florida. specializing in PODIATRY. They hold a License No. SC006736 (PA). The NPI Number for WESLEY ALEXANDER JACKSON is 1285085357

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
WESLEY ALEXANDER JACKSON
NPI
1285085357
Phone
(904) 241-2655
Address
1361 13TH AVE S STE 120
Enumeration Date
29 June 2016
Last Update Date
17 April 2024

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7277975008
Graduation Year
2016 (10 years ago)
PAC ID
6800120197
Group Practice PAC ID
8224066923
Professional Enrollment ID
I20230202002127
Address ID
FL337631605CL2521XBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for WESLEY ALEXANDER JACKSON

  • 1361 13TH AVE S STE 120

    JACKSONVILLE BEACH, FL 322503260

    Phone: (904) 241-2655

    Fax: (904) 249-2425

    Type: Location

  • 100, West John Street, Downtown, Matthews, Mecklenburg County, North Carolina, 28105, United States

    MATTHEWS, NC 281055484

    Phone: (704) 847-9788

    Fax: (704) 849-2928

    Type: Mailing

  • 5911 TIMUQUANA RD UNIT 300

    JACKSONVILLE, FL 322107897

    Phone: (904) 251-5053

    Fax: (904) 224-2002

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $2,339.

Total Amount is formed as General ($2,339) + Research ($0) + Ownership ($0) = $2,339.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Team 1, Llc ($1,568).

Total Amount

$2,339

General + Research + Ownership

Payments

18

Total payment records

General Amount

$2,339

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-02-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190619003191IPodiatryNCTBD
I20230202002127IPodiatryFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11720Removal of fingernails or toenails, 1-5 nails885423$0
11056Removal of noncancer thickened skin growth, 2-4 growths826399$0
11719Trimming of fingernails or toenails774334$0
99213Established patient office or other outpatient visit, 20-29 minutes728434$0
99203New patient office or other outpatient visit, 30-44 minutes221221$0
View full utilization report →

Insurance plans in this area (ZIP 32250)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224066923View full group profile
NameSpecialtyState
P O D I A T R YFL
-FL
P O D I A T R YFL
P O D I A T R YOH
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL
P O D I A T R YFL

Reviews

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Frequently asked questions

What is the registry number for WESLEY ALEXANDER JACKSON?
The registry entry for WESLEY ALEXANDER JACKSON shows NPI 1285085357.
Quick check: is WESLEY ALEXANDER JACKSON active?
Public NPPES data shows WESLEY ALEXANDER JACKSON with an active NPI status right now.
What services align with WESLEY ALEXANDER JACKSON's listing?
WESLEY ALEXANDER JACKSON's public classification highlights Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Can patients visit WESLEY ALEXANDER JACKSON in Jacksonville Beach, Florida?
For routing, start with Jacksonville Beach, Florida for WESLEY ALEXANDER JACKSON, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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